Table 2.
Clinical Features | No. of Cases |
Fever | 39/49 (80%) |
Right upper quadrant pain | 35/49 (71%) |
Diarrhoea | 17/49 (35%) |
Positive Diagnostic Investigations | |
Serology | 49/49 (100%) |
PCR (liver aspirate) | 3/6 (50%) |
PCR (Stool) | 2/3 (67%) |
Stool microscopy | 4/13 (31%) |
Histopathology | 4/11 (36%) |
Diagnosis * | |
Liver abscess | 41/48 (85%) |
Amoebic colitis | 7/48 (15%) |
Management and Outcomes | |
Admission | |
Surgical | 23/45 (51%) |
Medical | 22/45 (49%) |
Not admitted | 4/49 (8%) |
Treatment | |
Received an antibiotic active against E. histolytica prior to diagnosis | 43/49 (88%) |
Received a luminal agent | 30/49 (61%) |
Invasive procedure | 36/49 (73%) |
Aspiration of hepatic abscess | 28/41 (68%) |
Partial hepatectomy | 1/49 (2%) |
Colonoscopy | 11/49 (22%) |
Peripherally inserted central cannula | 4/49 (8%) |
Death | 1/49 (2%) |
* Type of amoebiasis could not be determined in one patient due to insufficient information. PCR: polymerase chain reaction.